ANTIFUNGALS: ORAL
Displaying 11 - 20 of 180 records found.| Brand Name/Generic Name | NDC/Manufacturer | FFS Clinical Prior Auth Required | PDL Prior Auth Required | Programs |
|---|---|---|---|---|
| FLUCONAZOLE 100 MG TABLET fluconazole |
55111014401 DR.REDDY'S LAB |
No | No | Medicaid CHIP CSHCN KHC |
| FLUCONAZOLE 100 MG TABLET fluconazole |
55111014430 DR.REDDY'S LAB |
No | No | Medicaid CHIP CSHCN KHC |
| FLUCONAZOLE 100 MG TABLET fluconazole |
70710113801 ZYDUS PHARMACEU |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
16714069101 NORTHSTAR RX LL |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
70710113803 ZYDUS PHARMACEU |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
16714069102 NORTHSTAR RX LL |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
00904650061 MAJOR PHARMACEU |
No | No | Medicaid CHIP CSHCN KHC |
| FLUCONAZOLE 100 MG TABLET fluconazole |
57237000430 RISING PHARM |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
68001025204 BLUEPOINT LABOR |
No | No | Medicaid CHIP CSHCN |
| FLUCONAZOLE 100 MG TABLET fluconazole |
62135013130 CHARTWELL RX LL |
No | No | Medicaid CHIP CSHCN |